What is the difference between school-based and clinic-based physical therapy?

A school-based physical therapist looks at how the child physically accesses their school environment. Can they safely navigate the classroom and school grounds (curbs, ramps, stairs, etc.), physically access educational materials, negotiate busy hallways and common areas, and safely access playground equipment, cafeterias, and restrooms? They also assist with environmental adaptations, ordering and monitoring equipment (such as adaptive seating devices, gait trainers, and modified tricycles), and training staff on the use of any assistive equipment, handling, and transfers (for example, transferring from the wheelchair to the toilet and back).

Clinic-based PT looks at medical considerations of the child’s disability, such as stretching to help prevent crouch gait in cerebral palsy; strengthening to help a child sit, stand, and walk as independently as possible; working on balance; troubleshooting equipment needs; and working to safely navigate different home and community environments.

For more information, see our article School-Based Vs. Clinic-Based Services.